0281U1021019P000379
FKTP : dr. AULIA RACHMAN (JST)(0281U102)
Kabupaten / Kota :
KAB. TANAH LAUT(0281)
Di : RS BHAYANGKARA BANJARMASIN
Telah diberikan :
Diagnosa : .....................................................................................................................................
Terapi : .....................................................................................................................................
Dokter RS,
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